Attendee List
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Plenaries

• P01 Donald Berwick, MD, MPP
• P02 Sir John Oldham, MBA, MBChB
• P03 Sister Mary Jean Ryan, FSM
• P04 Uwe Reinhardt, PhD

Miniplenaries

• A01 Increasing Access, Increasing Quality: Lesson
  • Perlin Handout
  • Provost Handout
  • Shekar Handout
• B01 Nursing Care in the 21st Century
  • B1: Nursing Care in the 21st Century: Closing the Gap, Joan Ellis Beglinger
  • B1: State of Wisconsin Guiding Principles
  • B1: Suggested Reading
  • B1: The Effect of Workforce Issues on Patient Safety, Lillee Gelinas
  • B1: Top 10 Elements Publication, VHA
  • B1: The Journal of Clinical Systems Management, August 2004
  • B1: Top Ten Elements (only) CNO
  • B1: The Business Case for Work Force Stability
  • B1: Nursing Care in the 21st Century: Closing the Gap
  • B1: Top Ten Cultural Best Practices
• C01 Harm, Healing, and Hope: Stories of Personal
• D01 Seeking Zero Defects: Applying the Toyota
• E01 Top Ten Improvement Ideas from 2004

CEO Summit

• CEO-3 Ariens Lean
• CEO-06 Whole System Measurement Kit
• CEO-07 Leverage Points
• CEO-08 Trustee Article
• CEO John Toussaint

A and B Sessions

• A02/B02 Improving Sepsis
  • Clemmer Handout
  • Pronovost Handout
  • Resar Handout
  • Sepsis Toolkit Handout
• A03/B03 From Good to Great: Using Bundles to Drive
• A04/B04 Self Organizing Improvement of Bed Management
• A05/B05 The Wisdom of Coalitions: Turning 30% Waste
• A06/B06 Holding the Gains and Spreading the Improvement
• A07/B07 Rebuilding Organizational Trust
• A08/B08 The Business Case for Quality
• A09/B09 A Performance Management Initiative
• A10/B10 Faster, Better Program: the Dutch Program
• A11/B11 Pursuing Perfection Across the Continuum
  • Ettinger Handout
  • Stubblefield Handout
• A12/B12 Video-Based Storytelling and other Narrative
• A13/B13 Making Guidelines Real and Reliable
• A14/B14 Navigating in the Turbulent Sea of Data
• A15/B15 Open Patient Medical Records
• A16/B16 Leadership for Medical Practice Improvement
• A17/B17 Continuously Pursuing Excellence in Healthcare
• A18/B18 The Courage to Design Differently
• A19/B19 Crew Resource Management: Application
• A20/B20 Ethical Quality Improvement and IRB Review
• A21/B21 Stopping the Line
  • Handout 1
  • Handout 2
• A22/B22 Changing the Rules to Change the Organization
• A23/B23 Developing Effective Teams for Improving
• A24/B24 Becoming a "Chasm Community"

C Sessions

• C02 Chest Pain Talks at Hackensack University
• C03 Capacity, Varying Demand, and Quality
• C04 Using Computer Simulation to Improve Patient
• C05 How to Conduct a World-Class Celebration
  • Handout 1
  • Mayo Worksheet
• C06 Implementing the Chronic Care Model
• C07 Decompression Planning: Using Performance
• C08 Business Case for Quality: Pay-for Performance
• C09 The Business Case: Lessons Learned from IHI
  • The Business Case: Lessons Learned from IHI Projects
  • Final Case Studies
  • Making the CFO a Quality Champion—The Business Case for Improvement
• C10 Pursuing Perfection Across the Continuum
  • How to Pursuing Perfection Across the Continuum of Services - Kabcenell
  • Community Community-Wide Wide Transformational Change Transformational Change… our results so far - Keast, Devon
  • Community-wide Connection & Communication for & with PATIENTS who live with CHROINC CONDIDTIONS - Whatcom
• C11 Physician as Healer, Leader, Partner
• C12 Culturally Competent Healthcare: Looking Beyon
• C13 Health Care Process Redesign in an Integrated
• C14 Computerized Physician Order Entry
  • Classen Handout 1
  • Classen Handout 2
  • Weingarten Handout
• C15 Let’s Talk About That!
• C16 Crossing the Coding Chasm
• C17 The Planned Care Model and Beyond
• C18 Information Therapy in a Clinical Setting
• C19 Patient Decision Aids to Improve Decision
• C20 How Patient Self-Management and Patient Self
• C21 Web-Based Tool Drives Improved Patient Safety
• C22 Creating a Culture of Safety
• C23 First Over the Barricades Get Shot, or Do They
• C24 A Successful Transition to Safer

D Sessions

• D02/E02 Partnerships Inside and Outside the ICU
  • Lindsay Handout
  • Wellspan Handout
• D03/E03 The Nuts and Bolts of Establishing a MRT
• D04/E04 Improving Surgical Flow
• D05/E05 Breakthrough Strategies to Improve Flow
• D06/E06 The Five Commandments of Successful Innovation
• D07/E07 Creating Organizational Capacity 4 Innovation
• D08/E08 Spreading Change Using an Internal Collab
  • Mayo Clinic Handout
  • Urban Health Handout
    
• D09/E09 How Governance Makes a Difference
• D10/E10 Value-Based Leadership
  • Handout 1
  • Article
  • Norling Handout
• D11/E11 Setting Aims that Raise the Bar
• D12/E12 Establishing and Using System Level Measures
  • Handout 1
  • Leverage Points Handout
  • Progress Report Handout
• D13/E13 National Healthcare Quality Report
• D14/E14 Clinical Quality Improvement Strategies
• D15/E15 Designing a System to Improve Appropriate Drug
• D16/E16 Good to Great: Organizational Transformation
• D17/E17 Palliative Care: The Quality and the Business
• D18/E18 The Business Case Behind Planned Care
• D19/E19 Creating a Patient Centered Care Model Through
• Handout 1
• Supplement to Handout
• D20 The "No Needless": Responding to Don's RFP
  • McKenna Handout
  • Tichenor Handout
• D21 Improved Care, Service & Infrastructure in HIV
• D22 Leapfrog NQF Safe Practices Survey
• D23 Reducing Nosocomial Infections
  • Clemmer Handout
  • Whittington Handout
• D24/E24 Improving Safety & Reliability in the O
• D25 The Cost of Error: Impact and Actions
• D26 Designing Microsystems to Improve Learning